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Professional Optical — NPI 1366636599, Fargo, ND | NPI Central

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NPI 1366636599

OrganizationActive

Professional Optical

NPI 1366636599 · Eyewear Supplier · Fargo, ND

Provider details

NPI number: 1366636599
Entity type: Organization
Primary specialty: Eyewear SupplierSuppliers
Organization subpart: No
Authorized official: Daniel Levin, Doctor/Optometrist(701) 298-0643

Specialties & taxonomies

Eyewear SupplierPrimary332H00000X
Suppliers

Practice location

4344 20th Ave Sw

Fargo, ND 58103-4434

Phone: (701) 299-0643

Fax: (701) 293-0909

Approximate (ZIP-level) locationGet directions

More ND providers

Mailing address

4344 20th Ave Sw

Fargo, ND 58103-4434

Registry dates

Enumerated: 2007-08-30
Last updated: 2022-07-21

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.